A list of the most recent deficiencies for Good Samaritan Society - Maplewood. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-12-18 | 2024-01-12 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-18 | 2024-01-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-18 | 2024-01-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-18 | 2024-01-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-18 | 2024-01-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-18 | 2024-01-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-18 | 2024-01-12 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-28 | 2023-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-11-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-09-28 | 2023-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-27 | 2023-11-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-14 | 2022-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-12 | 2022-08-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-12 | 2022-08-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-12 | 2022-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-12 | 2022-07-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-05 | 2020-04-17 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2020-03-05 | 2020-04-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-05 | 2020-04-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-03-05 | 2020-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-05 | 2020-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-04-17 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-03-05 | 2020-04-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-05 | 2020-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-05 | 2020-03-09 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2020-03-05 | 2020-03-05 | N |
